@Matadem ... Altar clearly use a quad remesher to convert the low res voxel model form material reduction into a smooth surface.
Blendtopo can generate a bit more voxels tho, (Final resolution ? maybe the poisson feature), I'm not sure how slow the process is, but pushing the resolution will help the remesh a lot.
I use to think exoside quad remesher was the best for the job, but in your case maybe one of those AI remesh could work better. The AI shape guessing might output a smoother low quad cage, that you can then convert to Nurbs in MoI.
https://studio.tripo3d.ai/workspace/retopology
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